Exactech Announces Successful First Revision Knee Replacement Surgery with Truliant® Instrumentation

November 01, 2017

GAINESVILLE, Fla.–(BUSINESS WIRE)–Exactech (Nasdaq: EXAC), a developer and producer of bone and joint restoration products and biologic solutions for extremities, knee and hip, is pleased to announce that the first revision knee surgery was performed using the company’s award-winning Truliant® instrumentation. Orthopaedic surgeons will have a chance to experience the Truliant primary and revision systems through live mechanical demonstrations Nov. 2-5 at the American Association of Hip and Knee Surgeons (AAHKS) Annual Meeting, Booth #908 in Dallas, Texas.

The first surgery was performed by revision knee replacement specialist Ronald Hillock, MD, at the Nevada Orthopedic and Spine Center in Las Vegas. According to Dr. Hillock, “The case ran smoothly, and I was able to re-establish the patient’s joint line in just over an hour. Truliant is a well-thought-out, comprehensive system that allowed me to easily position the implant in the optimal position for the patient. The new offset couplers and metaphyseal cones allows for managing the complexities of implant fixation and bone loss.”

Developed through close collaboration with a team of design surgeons and Exactech engineers, Truliant supports both mechanical and computer-assisted surgical approaches and now addresses the continuum of total knee arthroplasty – from primary to revision.

“In designing Truliant, we were met with the paradox of trying to be simple and easy to understand, while still providing the surgeon and patient with all the options they need,” said Daniel C. Allison, MD, oncologic orthopaedic surgeon and Truliant design team member. “I think Exactech did a great job of bringing those things together and threading that needle, so that everything is intuitive without being overly complex. Combining that simplicity, while maintaining a wide variety of options was a hard challenge, but Exactech mastered it beautifully.”

The Truliant primary knee system made its clinical debut in May and has been used in more than 600 surgeries during the pilot launch. Both the primary and revision systems are expected to have full U.S. market availability in 2018. For more information, visit www.TruliantKnee.com.

About Exactech

Based in Gainesville, Fla., Exactech develops and markets orthopaedic implant devices, related surgical instruments and biologic materials and services to hospitals and physicians. The company manufactures many of its orthopaedic devices at its Gainesville facility. Exactech’s orthopaedic products are used in the restoration of bones and joints that have deteriorated as a result of injury or diseases such as arthritis. Exactech markets its products in the United States, in addition to more than 30 markets in Europe, Latin America, Asia and the Pacific. Additional information about Exactech can be found at http://www.exac.com.

Contacts

Exactech
Jody Phillips, 352-377-1140
Executive Vice President of Finance & Chief Financial Officer
or
Exactech
Priscilla Bennett, 352-377-1140
Priscilla@exac.com

K2M Group Holdings, Inc. Reports Third Quarter 2017 Financial Results

LEESBURG, Va., Nov. 01, 2017 (GLOBE NEWSWIRE) — K2M Group Holdings, Inc. (Nasdaq:KTWO) (the “Company” or “K2M”), a global leader of complex spine and minimally invasive solutions focused on achieving three-dimensional Total Body Balance™, today reported financial results for its third fiscal quarter ended September 30, 2017.

Third Quarter 2017 Financial Summary:

  • Total Q3 revenue of $62.7 million, up 6% year-over-year on a reported basis and 5% on a constant currency basis
  • Domestic Q3 revenue of $48.5 million, up 5% year-over-year, comprised of:
    • U.S. Complex Spine growth of 3% year-over-year
    • U.S. Minimally Invasive Surgery (MIS) growth of 14% year-over-year
    • U.S. Degenerative growth of 5% year-over-year
  • International Q3 revenue of  $14.2 million, up 6% year-over-year, or 5% on a constant currency basis.
  • Net loss of $8.5 million for the three months ended September 30, 2017, compared to a net loss of $7.9 million in the comparable period last year.
  • Adjusted EBITDA of $0.9 million for the three months ended September 30, 2017, compared to Adjusted EBITDA of $2.8 million in the comparable period last year.

Third Quarter Product Introductions:

  • On July 6, 2017, the Company announced that its NILE® Proximal Fixation Spinal System, a spinal system specifically designed for proximal construct augmentation, received 510(k) clearance from the U.S. Food & Drug Administration (FDA) and a CE Mark.
  • On September 14, 2017, the Company announced the global launch of the EVEREST® Minimally Invasive (MI) XTower®instrumentation—an enhancement to the EVEREST MI XT Spinal System.
  • On September 29, 2017, the Company announced that it received 510(k) clearance from FDA for its YUKON OCT Spinal System.

Recent Strategic Highlights:

  • On July 10, 2017, the Company announced the signing of a new, long-term, exclusive agreement with Mitsubishi Corporation subsidiary Japan Medicalnext Co., Ltd., a wholly-owned entity of MC Healthcare, Inc. and a prominent supplier of medical devices in Japan, for the distribution of K2M’s innovative spinal technologies.
  • On August 3, 2017, the Company announced that it had acquired the exclusive license to a portfolio of 17 issued and pending patents for expandable interbody technology.
  • On October 4, 2017, the Company announced that President and Chief Executive Officer Eric Major had been elected Chairman of the Company’s Board of Directors, effective immediately. Major succeeded Dan Pelak, who will assume the role of Independent Lead Director after serving as Chairman since 2010.
  • On October 23, 2017, the Company announced that it has acquired from Cardinal Spine, a privately held medical device company, the PALO ALTO® Cervical Static Corpectomy Cage System. PALO ALTO, a cervical vertebral body replacement device, is the first and only static corpectomy cage in the world to receive a cervical 510(k) clearance from the FDA. In addition to PALO ALTO, K2M has also acquired the associated intellectual property and product inventory.
  • On October 24, 2017, the Company announced a global compatibility and co-marketing agreement with Brainlab. The two companies will collaborate in the commercial release of future navigated K2M spinal systems, which would be compatible with Brainlab spinal navigation systems.

“Our revenue results for the third quarter of 2017 reflect total revenue growth of 6% year-over-year on a GAAP basis and 5% on a constant currency basis,” said Chairman, President and Chief Executive Officer, Eric Major. “Although we continued to see growth, our third quarter revenue performance was impacted by slower initial on-boarding of the new distribution team in the U.S., disruption of account activity and canceled procedures related to the hurricanes in Texas, Florida and Puerto Rico in early September.  Third quarter deformity trends were strong in July and August and we experienced strong headwinds in September. U.S. sales growth in our degenerative procedure category continued to be fueled by our new product introductions including our industry-leading 3D-printed portfolio, offset partially by modestly weaker procedure volumes as compared to last year.”

Major continued, “We have made significant progress in 2017 toward our goal of introducing new and innovative spinal implant solutions. We have supplemented this organic growth activity with exciting strategic acquisitions of intellectual property for expandable implants and a cervical vertebral body replacement device that is the first and only static corpectomy cage in the world to receive a cervical 510(k) clearance. We also announced an important strategic collaboration with Brainlab, one of the world’s leading imaging and navigation companies. We remain confident in our ability to drive above-market growth in the U.S., fueled by our continued focus on leading the spine market by introducing new and innovative spinal implant solutions to help surgeons care for patients around the world who suffer from debilitating spinal pathologies.”

Third Quarter 2017 Financial Results

Three Months Ended September 30, Increase / Decrease
2017 2016 $ Change % Change % Change
($ in thousands) (as reported) (constant currency)
United States $ 48,474 $ 45,978 $ 2,496 5.4 % 5.4 %
International 14,179 13,332 847 6.4 % 5.2 %
Total Revenue: $ 62,653 $ 59,310 $ 3,343 5.6 % 5.4 %

Total revenue for the third quarter of 2017 increased $3.3 million, or 5.6%, to $62.6 million, compared to $59.3 million for the third quarter of 2016. Total revenue increased 5.4% year-over-year on a constant currency basis. The increase in revenue was primarily driven by higher sales volume from new surgeon users in the United States, partially offset by a decrease in revenues from our existing U.S. and U.K. customer base and a reduction of revenue in Japan.

Revenue in the United States increased $2.5 million, or 5.4% year-over-year, to $48.5 million, and international revenue increased $0.8 million, or 6.4% year-over-year, to $14.2 million. Third quarter 2017 international revenue increased 5.2% year-over-year on a constant currency basis. Foreign currency exchange impacted third quarter international revenue by approximately $0.1 million, representing approximately 112 basis points of 2017 international growth year-over-year.

The following table represents domestic revenue by procedure category.

Three Months Ended September 30, Increase / Decrease
2017 2016 $ Change % Change
($ in thousands)
Complex Spine $ 20,047 $ 19,516 $ 531 2.7 %
Minimally Invasive 7,694 6,767 927 13.7 %
Degenerative and Other 20,733 19,695 1,038 5.3 %
U.S Revenue: $ 48,474 $ 45,978 $ 2,496 5.4 %

By procedure category, U.S. revenue in the Company’s complex spine, MIS and degenerative categories represented 41.4%, 15.9% and 42.7% of U.S. revenue, respectively, for the three months ended September 30, 2017.

Gross profit for the third quarter of 2017 increased 6.1% to $42.2 million, compared to $39.8 million for the third quarter of 2016.  Gross margin was 67.4% for the third quarter of 2017, compared to 67.1% for the prior year period. Gross profit includes amortization expense on investments in surgical instruments of $3.5 million, or 5.5% of sales, for the three months ended September 30, 2017, compared to $3.5 million, or 5.8% of sales, for the comparable period last year.

Operating expenses for the third quarter of 2017 increased $3.7 million, or 8.0%, to $49.6 million, compared to $45.9 million for the third quarter of 2016. The increase in operating expenses was driven primarily by a $2.2 million increase in sales and marketing expenses, compared to the comparable period last year.

Loss from operations for the third quarter of 2017 increased $1.2 million to $7.3 million compared to a loss from operations of $6.1 million for the comparable period last year. Loss from operations included intangible amortization of $1.8 million and $2.6 million for the third quarters of 2017 and 2016, respectively.

Total other expenses for the third quarter of 2017 decreased $0.8 million to $1.1 million, compared to $1.9 million last year. The decrease in other expense, net, was primarily attributable to an increase of $1.2 million in unrealized gains from foreign currency remeasurement on intercompany payable balances, partially offset by an increase in interest expense of $0.4 million from the Convertible Senior Notes issued in August 2016.

Net loss for the third quarter of 2017 was $8.5 million, or $0.20 per diluted share, compared to a loss of $7.9 million, or $0.19 per diluted share, for the third quarter of 2016.

Nine-Months 2017 Financial Results

Nine Months Ended September 30, Increase / Decrease
2017 2016 $ Change % Change % Change
($ in thousands) (as reported) (constant currency)
United States $ 145,456 $ 133,409 $ 12,047 9.0 % 9.0 %
International 44,774 41,434 3,340 8.1 % 9.6 %
Total Revenue: $ 190,230 $ 174,843 $ 15,387 8.8 % 9.2 %

For the nine months ended September 30, 2017, total revenue increased $15.4 million, or 8.8%, to $190.2 million, compared to $174.8 million for the nine months ended September 30, 2016. Total revenue increased 9.2% year-over-year on a constant currency basis. U.S. revenue increased $12.1 million, or 9.0%, to $145.5 million for the first nine months of 2017, compared to $133.4 million last year. International revenue increased $3.4 million, or 8.1%, to $44.8 million for the first nine months of 2017, compared to $41.4 million last year. International revenue increased 9.6% year-over-year on a constant currency basis.

Nine Months Ended September 30, Increase / Decrease
($ in thousands) 2017 2016 $ Change % Change
Complex Spine $ 57,525 $ 53,981 $ 3,544 6.6 %
Minimally Invasive 24,351 20,653 3,698 17.9 %
Degenerative and Other 63,580 58,775 4,805 8.2 %
U.S Revenue: $ 145,456 $ 133,409 $ 12,047 9.0 %

Sales in our complex spine, MIS and degenerative categories represented 39.5%, 16.7% and 43.8% of U.S. revenue, respectively, for the first nine months of 2017.

As of September 30, 2017, we had cash and cash equivalents of $33.9 million as compared to $45.5 million as of December 31, 2016. We had working capital of $107.0 million as of September 30, 2017 as compared to $115.9 million as of December 31, 2016.

At September 30, 2017, outstanding long-term indebtedness included the carrying value of the Convertible Senior Notes of $38.6 million and the capital lease obligation of $34.1 million. The Company had no borrowings outstanding on its revolving credit facility as of September 30, 2017.

2017 Outlook

The Company is reaffirming its fiscal year 2017 revenue guidance expectations which were updated in a press release on October 8, 2017. The Company expects:

  • Total revenue on an as reported basis in the range of $255.0 million to $257.0 million, representing growth of 8% to 9% year-over-year, compared to total revenue of $236.6 million in fiscal year 2016.
    • Total revenue on a constant currency basis is expected to increase 8% to 9% year-over-year in 2017.
    • The Company expects growth in its U.S. business of approximately 8% to 9% year-over-year in 2017.
    • The Company expects growth in its International business of approximately 9% on a constant currency basis in 2017.

The Company is updating its fiscal year 2017 guidance expectations for net loss and adjusted EBITDA loss. The Company now expects:

  • Total net loss of approximately $37.0 million to $35.0 million, compared to prior expectations for net loss in a range of approximately $34.0 million to $31.0 million.
  • Adjusted EBITDA in a range of $1.0 million to $3.0 million, compared to prior expectations for Adjusted EBITDA in a range of approximately $6.0 million to $10.0 million.

Conference Call

Management will host a conference call at 5:00 p.m. Eastern Time on November 1st to discuss the results of the third quarter, and to host a question and answer session. Those who would like to participate may dial 844-579-6824 (734-385-2616 for international callers) and provide access code 99297954 approximately 10 minutes prior to the start of the call. A live webcast of the call will also be provided on the investor relations section of the Company’s website at http://Investors.K2M.com/.

For those unable to participate, a replay of the call will be available for two weeks at 855-859-2056 (404-537-3406 for international callers); access code 99297954. The webcast will be archived on the investor relations section of the Company’s website.

About K2M Group Holdings, Inc.

K2M Group Holdings, Inc. is a global leader of complex spine and minimally invasive solutions focused on achieving three-dimensional Total Body Balance. Since its inception, K2M has designed, developed, and commercialized innovative complex spine and minimally invasive spine technologies and techniques used by spine surgeons to treat some of the most complicated spinal pathologies. K2M has leveraged these core competencies into Balance ACS, a platform of products, services, and research to help surgeons achieve three-dimensional spinal balance across the axial, coronal, and sagittal planes, with the goal of supporting the full continuum of care to facilitate quality patient outcomes. The Balance ACS platform, in combination with the Company’s technologies, techniques and leadership in the 3D-printing of spinal devices, enable K2M to compete favorably in the global spinal surgery market. For more information, visit www.K2M.com and connect with us on FacebookTwitterInstagramLinkedIn and YouTube.

Forward-Looking Statements

This press release contains forward-looking statements that reflect current views with respect to, among other things, operations and financial performance.  Forward-looking statements include all statements that are not historical facts such as our statements about our expected financial results and guidance and our expectations for future business prospects.  In some cases, you can identify these forward-looking statements by the use of words such as, “outlook,” “guidance,” “believes,” “expects,” “potential,” “continues,” “may,” “will,” “should,” “could,” “seeks,” “predicts,” “intends,” “plans,” “estimates,” “anticipates” or the negative version of these words or other comparable words.  Such forward-looking statements are subject to various risks and uncertainties including, among other things: our ability to achieve or sustain profitability in the future; our ability to demonstrate to spine surgeons the merits of our products and retain their use of our products; pricing pressures and our ability to compete effectively generally in our industry; collaboration and consolidation in hospital purchasing; inadequate coverage and reimbursement for our products from third-party payors; lack of long-term clinical data supporting the safety and efficacy of our products; dependence on a limited number of third-party suppliers; our ability to maintain and expand our network of direct sales employees, independent sales agencies and international distributors and their level of sales or distribution activity with respect to our products; proliferation of physician-owned distributorships in the industry; decline in the sale of certain key products; loss of key personnel; our ability to enhance our product offerings through research and development; our ability to manage expected growth; our ability to successfully acquire or invest in new or complementary businesses, products or technologies; our ability to educate surgeons on the safe and appropriate use of our products; costs associated with high levels of inventory; impairment of our goodwill and intangible assets; disruptions to our corporate headquarters and operations facilities or critical information technology systems, distributors or surgeon users; our ability to ship a sufficient number of our products to meet demand; our ability to strengthen our brand; fluctuations in insurance cost and availability; our ability to comply with extensive governmental regulation within the United States and foreign jurisdictions; our ability  to maintain or obtain regulatory approvals and clearances within the United States and foreign jurisdictions; voluntary corrective actions by us or our distribution or other business partners or agency enforcement actions; recalls or serious safety issues with our products; enforcement actions by regulatory agencies for improper marketing or promotion; misuse or off-label use of our products; delays or failures in clinical trials and results of clinical trials; legal restrictions on our procurement, use, processing, manufacturing or distribution of allograft bone tissue; negative publicity concerning methods of tissue recovery and screening of donor tissue; costs and liabilities relating to environmental laws and regulations; our failure or the failure of our agents to comply with fraud and abuse laws; U.S. legislative or Food and Drug Administration regulatory reforms; adverse effects of medical device tax provisions; potential tax changes in jurisdictions in which we conduct business; our ability to generate significant sales; potential fluctuations in sales volumes and our results of operations over the course of the year; uncertainty in future capital needs and availability of capital to meet our needs; our level of indebtedness and the availability of borrowings under our credit facility; restrictive covenants and the impact of other provisions in the indenture governing our convertible  senior notes and our credit facility;  continuing worldwide economic instability; our ability to protect our intellectual property rights; patent litigation and product liability lawsuits; damages relating to trade secrets or non-competition or non-solicitation agreements; risks associated with operating internationally; fluctuations in foreign currency exchange rates; our ability to comply with the Foreign Corrupt Practices Act and similar laws; our ability to implement and maintain effective internal control over financial reporting; potential volatility in our stock price; our lack of current plans to pay cash dividends; our ability to take advantage of certain reduced disclosure requirements and exemptions as a result of being an emerging growth company; increased costs and additional regulations and requirements as a result of no longer qualifying as an emerging growth company as of December 31, 2017; potential dilution by the future issuances of additional common stock in connection with our incentive plans, acquisitions or otherwise; anti-takeover provisions in our organizational documents and our ability to issue preferred stock without shareholder approval; potential limits on our ability to use our net operating loss carryforwards; and other risks and uncertainties, including those described under the section entitled “Risk Factors” in our most recent Annual Report on Form 10-K filed with the SEC and our Quarterly Report filed with the SEC on August 2, 2017, as such factors may be updated from time to time in our periodic filings with the SEC, which are accessible on the SEC’s website at www.sec.gov.  Accordingly, there are or will be important factors that could cause actual outcomes or results to differ materially from those indicated in these statements.  These factors should not be construed as exhaustive and should be read in conjunction with the other cautionary statements that are included in this release and our filings with the SEC.

We operate in a very competitive and challenging environment.  New risks and uncertainties emerge from time to time, and it is not possible for us to predict all risks and uncertainties that could have an impact on the forward-looking statements contained in this release.  We cannot assure you that the results, events and circumstances reflected in the forward-looking statements will be achieved or occur, and actual results, events or circumstances could differ materially from those described in the forward-looking statements.

The forward-looking statements made in this press release relate only to events as of the date on which the statements are made.  We undertake no obligation to publicly update or review any forward-looking statement, whether as a result of new information, future developments or otherwise, except as required by law.  We may not actually achieve the plans, intentions or expectations disclosed in our forward-looking statements and you should not place undue reliance on our forward-looking statements. Unless specifically stated otherwise, our forward-looking statements do not reflect the potential impact of any future acquisitions, mergers, dispositions, joint ventures, investments or other strategic transactions we may make.

K2M GROUP HOLDINGS, INC.
CONSOLIDATED BALANCE SHEETS
(Unaudited)
(In Thousands, Except Share and Per Share Data)
September 30, December 31,
2017 2016
ASSETS    
Current assets:    
Cash and cash equivalents $ 33,941 $ 45,511
Accounts receivable, net 45,032 46,430
Inventory, net 72,389 61,897
Prepaid expenses and other current assets 7,516 6,147
Total current assets 158,878 159,985
Property, plant and equipment, net 49,927 50,714
Goodwill 121,814 121,814
Intangible assets, net 17,247 22,758
Other assets, net 30,729 28,254
Total assets $ 378,595 $ 383,525
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Current maturities under capital lease obligation $ 1,083 $ 973
Accounts payable 22,316 15,367
Accrued expenses 18,505 15,673
Accrued payroll liabilities 9,990 12,068
Total current liabilities 51,894 44,081
Convertible senior notes 38,584 36,894
Capital lease obligation, net of current maturities 34,104 34,933
Deferred income taxes, net 5,017 5,017
Other liabilities 301 1,032
Total liabilities 129,900 121,957
Stockholders’ equity:
Common stock, $0.001 par value, 750,000,000 shares authorized; 43,343,567 and 42,291,352 shares issued and 43,327,602 and 42,282,741shares outstanding, respectively 43 42
Additional paid-in capital 487,791 474,512
Accumulated deficit (239,478 ) (211,081 )
Accumulated other comprehensive loss 650 (1,771 )
Treasury stock, at cost, 15,965 and 8,611 shares, respectively (311 ) (134 )
Total stockholders’ equity 248,695 261,568
Total liabilities and stockholders’ equity $ 378,595 $ 383,525
K2M GROUP HOLDINGS, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
(In Thousands, Except Share and Per Share Data)
Three Months Ended September 30, Nine Months Ended September 30,
2017 2016 2017 2016
Revenue $ 62,653 $ 59,310 $ 190,230 $ 174,843
Cost of revenue 20,425 19,512 64,426 58,747
Gross profit 42,228 39,798 125,804 116,096
Operating expenses:
Research and development 5,360 5,199 16,170 15,989
Sales and marketing 29,557 27,384 91,273 84,132
General and administrative 14,659 13,312 42,937 41,343
Total operating expenses 49,576 45,895 150,380 141,464
Loss from operations (7,348 ) (6,097 ) (24,576 ) (25,368 )
Other expense, net:
Foreign currency transaction gain (loss) 671 (547 ) 1,518 (1,099 )
Interest expense (1,748 ) (1,319 ) (5,211 ) (2,705 )
Total other expense, net (1,077 ) (1,866 ) (3,693 ) (3,804 )
Loss before income taxes (8,425 ) (7,963 ) (28,269 ) (29,172 )
Income tax expense (benefit) 40 (53 ) 128 21
Net loss $ (8,465 ) $ (7,910 ) $ (28,397 ) $ (29,193 )
Basic and diluted $ (0.20 ) $ (0.19 ) $ (0.67 ) $ (0.70 )
Weighted average shares outstanding:
Basic and diluted 43,009,015 41,940,370 42,627,985 41,639,609

K2M GROUP HOLDINGS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
(In Thousands)
Nine Months Ended September 30,
2017  2016
Operating activities
Net loss $ (28,397 ) $ (29,193 )
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization 21,424 21,452
Provision for inventory reserves 3,187 2,817
Provision for allowance for doubtful accounts 196 (18 )
Stock-based compensation expense 4,322 5,381
Accretion of discounts and amortization of issuance costs of convertible senior notes 1,748 558
Other (14 ) (33 )
Changes in operating assets and liabilities:
Accounts receivable 2,444 (5,292 )
Inventory (9,510 ) (6,466 )
Prepaid expenses and other assets (8,200 ) (7,636 )
Accounts payable, accrued expenses, and accrued payroll liabilities 4,092 3,442
Net cash used in operating activities (8,708 ) (14,988 )
Investing activities
Purchase of surgical instruments (7,199 ) (10,986 )
Purchase of property, plant and equipment (3,242 ) (16,338 )
Changes in cash restricted for leasehold improvements 6,153
Purchase of intangible assets (1,050 ) (1,282 )
Net cash used in investing activities (11,491 ) (22,453 )
Financing activities
Borrowings on bank line of credit 19,500
Payments on bank line of credit (19,500 )
Proceeds from issuance of convertible senior notes, net of issuance costs 47,575
Principal payments under capital lease (719 )
Issuances and exercise of stock-based compensation benefit plans, net of income tax 8,781 1,262
Net cash provided by financing activities 8,062 48,837
Effect of exchange rate changes on cash and cash equivalents 567 75
Net change in cash and cash equivalents (11,570 ) 11,471
Cash and cash equivalents at beginning of period 45,511 34,646
Cash and cash equivalents at end of period $ 33,941 $ 46,117
Significant non-cash investing activities
Leasehold improvements under capital lease $ $ 598
Additions to property, plant and equipment $ 250 $
Significant non-cash financing activities
Deferred convertible senior notes issuance costs $ $ 486
Cash paid for:
Income taxes $ 132 $ 177
Interest $ 2,190 $ 339

K2M GROUP HOLDINGS, INC.
Reconciliation of GAAP to Non-GAAP Measures
(Unaudited)
 (In Thousands)

Use of Non-GAAP Financial Measures

This press release includes the non-GAAP financial measures of revenue in constant currency, Adjusted Gross Profit, and Adjusted EBITDA.

The Company presents these non-GAAP measures because it believes these measures are useful indicators of the Company’s operating performance.  Management uses these non-GAAP measures principally as a measure of the Company’s operating performance and believes that these measures are useful to investors because they are frequently used by analysts, investors and other interested parties to evaluate companies in the Company’s industry.  The Company also believes that these measures are useful to its management and investors as a measure of comparative operating performance from period to period.

Constant currency information compares results between periods as if exchange rates had remained constant period-to-period.  We calculate constant currency by converting the prior-year results using current-year foreign currency exchange rates.

Adjusted Gross Profit represents Gross Profit less amortization expense of surgical instruments.  The Company presented Adjusted Gross Profit because it believes it is a useful measure of the Company’s gross profit and operating performance because the measure is not burdened by the timing impact of instrument purchases and related amortization.

Adjusted EBITDA represents net loss plus interest expense, income tax expense, depreciation and amortization, stock-based compensation expense and foreign currency transaction (gain) loss.

The Company presents Adjusted EBITDA because it believes it is a useful indicator of the Company’s operating performance.  Management uses Adjusted EBITDA principally as a measure of the Company’s operating performance and for planning purposes, including the preparation of the Company’s annual operating budget and financial projections.

Adjusted EBITDA is a non-GAAP financial measure and should not be considered as an alternative to net loss as a measure of financial performance or cash flows from operations as a measure of liquidity, or any other performance measure derived in accordance with GAAP and it should not be construed as an inference that the Company’s future results will be unaffected by unusual or non-recurring items.  In addition, Adjusted EBITDA is not intended to be a measure of free cash flow for management’s discretionary use, as it does not reflect certain cash requirements such as tax payments, debt service requirements, capital expenditures and certain other cash costs that may recur in the future.  Adjusted EBITDA contains certain other limitations, including the failure to reflect the Company’s cash expenditures, cash requirements for working capital needs and cash costs to replace assets being depreciated and amortized.  In evaluating Adjusted EBITDA, you should be aware that in the future the Company may incur expenses that are the same as or similar to some of the adjustments in this presentation.  The Company’s presentation of Adjusted EBITDA should not be construed to imply that the Company’s future results will be unaffected by any such adjustments.  Management compensates for these limitations by primarily relying on its GAAP results in addition to using Adjusted EBITDA supplementally.  The Company’s definition of Adjusted EBITDA is not necessarily comparable to other similarly titled captions of other companies due to different methods of calculation.

The following table presents reconciliations of gross profit to adjusted gross profit and net loss to Adjusted EBITDA for the periods presented.

Three Months Ended September 30, Nine Months Ended September 30,
2017 2016 2017 2016
Reconciliation from Gross Profit to Adjusted Gross Profit
Gross profit $ 42,228 $ 39,798 $ 125,804 $ 116,096
Surgical instrument amortization 3,456 3,454 10,525 10,150
Adjusted gross profit (a Non-GAAP Measure) $ 45,684 $ 43,252 $ 136,329 $ 126,246
Three Months Ended September 30, Nine Months Ended September 30,
2017 2016
2017 2016
Reconciliations from Net Loss to Adjusted EBITDA
Net loss $ (8,465 ) $ (7,910 ) $ (28,397 ) $ (29,193 )
Interest expense 1,748 1,319 5,211 2,705
Income tax expense 40 (53 ) 128 21
Depreciation and amortization 6,810 7,415 21,424 21,452
Stock-based compensation expense 1,442 1,527 4,322 5,381
Foreign currency transaction (gain) loss (671 ) 547 (1,518 ) 1,099
Adjusted EBITDA (a Non-GAAP Measure) $ 904 $ 2,845 $ 1,170 $ 1,465

The following table presents a reconciliation of net loss to Adjusted EBITDA for our 2017 guidance:

Year Ended
December 31,
2017
Net loss $ (36,000 )
Interest expense 6,900
Income tax expense 200
Depreciation and amortization 26,900
Stock-based compensation expense 6,000
Foreign currency transaction gain (2,000 )
Adjusted EBITDA $ 2,000

The reconciliation assumes the mid-point of the Adjusted EBITDA range and the mid-point of each component of the reconciliation, corresponding to guidance of $1.0 million to $3.0 million for 2017.



Claris Reflex Launches to Provide 24/7 Coaching and Monitoring of TKR Patients at Home

Washington, United States, (November 1st, 2017) – Today Claris Healthcare is launching Claris Reflex, a new medical device and patient monitoring system to help orthopedic practices across North America monitor the recovery of Total Knee Replacement (TKR) patients. Claris Reflex is the only system to offer continuous coaching at home, from surgical preparation to postoperative care.

Designed specifically for patients aged 65+, Claris Reflex is a coaching system, which allows providers to better manage patients under the new bundled payment for total knee replacement programs including BPCI, CJR and private insurance. Patients are given a wearable sensor and an easy to use tablet; caregivers are provided access to an online dashboard that allows them to monitor patients remotely 24/7.

 

Geof Auchinleck, CEO, Claris Healthcare, said: “The thought of total knee replacement surgery can be a source of anxiety for a lot of patients, especially those over the age of 65. Claris Reflex removes this fear and allows patients to confidently and independently manage their pre and post-surgical recovery in their own home. Claris Reflex benefits everyone – first and foremost the patients, but also the clinicians, hospitals, and care providers.”

For clinics, better patient compliance saves time and money by reducing the number of patient days in hospital and skilled nursing facilities (SNF), as well as, reducing the number of physical therapy, home care and emergency room visits.

Dr. Dimmig, of EmergeOrtho, Durham, NC, one of the first orthopedic clinics to use Claris Reflex, said, “Claris Reflex is a significant innovation that has allowed us to streamline care for our knee replacement patients.  It’s unlike any patient management solution we’ve used before: for our older patients, the product is intuitive and simple to use; and for our staff, it’s enabling us to provide the best care possible while reducing our overall costs.”

Some key features of Claris Reflex include:

  • Activity tracking sensor: monitors each flexion and extension of the patient’s knee, as well as, body position (walking, standing, lying and sitting), icing temperature and compliance with exercises
  • Wireless patient connectivity: patients wear the sensor anywhere, 24/7 for their 8 week recovery: they are not restricted by a tethered system and the data uploads automatically when in range of the tablet
  • Simple patient dashboard: providers can quickly see in real time how patients are progressing with their rehabilitation and be alerted to any issues with their recovery
  • Objective data reporting: enables providers to manage care costs and monitor post-acute outcomes
  • Secure communication: patients and providers can send text messages, videos or photos; request a call and/or an appointment with a provider; and make video calls (if enabled)

For more information, please visit www.clarisreflex.com

 

About Claris Healthcare

Claris Healthcare uses technology to provide an interactive healthcare approach focused on overall patient wellbeing. Unlike other patient facing software applications, Claris Healthcare is focused on developing intuitive solutions specifically designed for the increasing number of older patients. Claris Healthcare began by providing Claris Companion, an intuitive tablet for seniors that could be remotely managed by family members. Since then, it has expanded the platform into remote patient monitoring by helping home care operators care for their Chronic Care clients. Claris Healthcare has already developed platforms for social and chronic care, and brings this experience to Claris Reflex as its first move into the acute care space.

 

Media Contact
Yulu Public Relations
Nora Eastwood
nora@yulupr.com
(+1) 604-558-1656

International Spine Institute Is a Leader in the Least Invasive Spine Procedures and Surgery for Low Back Pain

BATON ROUGE, La.Nov. 1, 2017 /PRNewswire/ — Dr. Marco A. Rodriguez, M.D., a board-certified and fellowship-trained orthopedic spine surgeon has a least invasive philosophy when it comes to spine procedures and surgery. He launched the International Spine Institute in Baton Rouge, Louisiana to give patients an option for more effective treatment of a variety of degenerative spinal conditions, including herniated disc, sciatica, low back pain, spinal stenosis, neck pain, spondylolisthesis, and failed back surgery.

According to research in the Epidemiology of Spine Care: The Back Pain Dilemma, low back pain disorders are among the most frequently encountered problems in clinical medicine. Research shows that low back pain affects up to 80 percent of the population at some point in life. Another study, The Rising Prevalence of Chronic Low Back Pain, noted that low back pain is the second most common cause of disability for adults in the United States and a common reason for lost workdays. The study notes that the condition is also costly with total costs estimated to be between $100 to 200 billionannually, two-thirds of which are due to decreased wages and productivity.

Several treatment options have evolved in order to treat the low back pain, but all too often the least invasive procedure is not the one most tried and recommended. “Currently, patients suffering from low back facet related pain, who failed conservative treatment options, are treated by pain management doctors with facet injections or medial branch nerve blocks. If these injections achieve short-term relief, a percutaneous radiofrequency nerve ablation (RFA) procedure is usually performed. The RFA procedure achieves pain relief in about 75 percent of patients and it lasts about 12 months average,” says Dr. Rodriguez. The research is showing that while these procedures may show a short-term improvement in pain, the long-term benefits are not evident.

Spine surgery is another option and ranges from well-established approaches for lumbar discectomy and/or spinal canal decompression to spinal fusion. Although surgery and spinal fusion are effective for some select conditions, many patients forego these options due to fear of long painful recovery (2-6 months) and slow return to work. Those that are candidates for surgery often experience long painful recovery and lost productivity and wages. The Long-term Outcomes of Lumbar Fusion Among Workers’ Compensation Subjects: a historical cohort study, showed that two years after spinal fusion surgery only 26 percent of fusion cases had returned to work, while 67 percent who had tried nonsurgical procedures had gone back to work. The reoperation rate was 27 percent and 36 percent had complications. For lumbar fusion patients, the daily opioid use also increased 41 percent after surgery, with 76 percent of cases continuing opioid use after surgery.

Dr. Rodriguez has aimed to bridge the gap between pain management and spinal surgery with a philosophy of least invasive procedures. His goal is to provide a non-fusion option that gives people their lives back quickly and with as little pain and recovery as possible. Pain management is relevant and helpful in order to pinpoint the pain generator in the low back, and some of the facet joint injections and interventional procedures provide temporary relief for some patients. For many patients they don’t get long lasting relief. Often when patients fail pain management, they are referred to spinal surgeons.  According to Dr. Rodriguez, there are too many spinal fusions done with poor outcomes and long recovery.

The study Long-Term Results of Endoscopic Dorsal Ramus Rhizotomy and Anatomic Variations of the Painful Lumbar Facet Jointshowed that “Endoscopic lumbar medial branch rhizotomy is safe, effective, and provides long-term benefit up to five years post-procedure. The endoscopic approach affords clinically superior longevity when compared to published results of radiofrequency ablation.”

At the International Spine Institute, Dr. Rodriguez focuses on endoscopic rhizotomy and discectomy surgery, which provide effective long-term relief from low back pain without the long recovery of spinal fusion. These procedures are done under conscious sedation or local anesthetic in an outpatient setting. This is done through a 1/2 inch incision for endoscopic. Patients experience minimal pain and discomfort and return to work and an active lifestyle as early as two weeks.

The endoscopic rhizotomy procedure alone has decreased the number of spinal fusions in Dr. Rodriguez’s practice significantly. He finds that most patients would rather have a least invasive, fusion sparing procedure than a spinal fusion or return to pain management every six to eight months for another RFA. His patient’s results have been astounding.

To learn more about Dr. Rodriguez and the International Spine Institute, visit ISpineI.com.

About International Spine Institute
The International Spine Institute, based in Baton Rouge, Louisiana, are leaders in less invasive spine procedures and surgery. Dr. Marco A. Rodriguez and his team strive to listen to patient’s needs and provide solutions that restore function, relieve pain, and help patients regain their quality of life. International Spine Institute’s motto is “Less Is So Much More.” For more information, visit ISpineI.com.

Related Images

image1.jpg 
Dr. Marco A. Rodriguez of the International Spine Institute in Baton Rouge, Louisiana

image2.jpg 
Endoscopic Rhizotomy

image3.jpg 
Dr. Marco A. Rodriguez, MD International Spine Institute

 

SOURCE International Spine Institute

IntraFuse Receives FDA 510(k) Clearance for FlexThread™ Fibula Pin System

LOGAN, UtahNov. 1, 2017 /PRNewswire/ — IntraFuse, a start-up medical device company focused on advanced surgical devices for improving outcomes for orthopaedic extremity procedures, announces that it has received FDA 510(k) clearance for its FlexThread™ Fibula Pin System.

The IntraFuse FlexThread™ Fibula Pin System provides percutaneous fixation of distal fibula fractures, primarily Danis-Weber B type fractures, or trans-syndesmotic fractures.  The simple and elegant design is easy to insert and cost competitive with today’s standard-of-care internal fixation hardware. Incorporating IntraFuse’s proprietary FlexThread™technology, the distal end of the implant is a flexible, intramedullary screw and the proximal end is a rigid, high-strength intramedullary rod.  Upon insertion of the implant into the fibula, the rigid rod portion of the implant spans and supports the fracture and the flexible screw portion bends as needed to thread into the intramedullary canal.  With internal screw fixation on one side of the fracture and cross screw fixation through the rod on the other side of the fracture, proper bone alignment and length can be maintained during the healing period. Additionally, the FlexThread™ Fibula Pin is compatible with either screw or flexible fixation of the syndesmosis joint as needed.

To accommodate the anatomic size range of fibulas, the FlexThread™ Fibula Pin is available in three different screw diameters, each with two length options.  Using routine intramedullary and screw fixation techniques, bone preparation is a simple, three step sequence:  place guide wire, ream, tap.   Optional fracture site compression is achieved concurrent with insertion of the implant, and delivery of cross fixation screws is facilitated by a guide that connects directly to the implant inserter.

The FlexThread Fibula Pin provides anatomic, intramedullary fixation that may have potential clinical advantages over fibula plating systems, including: reduced risk of hardware related pain, reduced rate of hardware removal, less risk of wound complications, infection and other morbidities due to a less invasive procedure, and less disruption of the periosteum which facilitates faster healing.

“Intramedullary fixation is the standard-of-care today for most fractures of the large, long bones of the body due to superior clinical outcomes versus plating systems, yet plating systems are still the standard-of-care for the smaller, long bones of the extremities,” states Wade Fallin, CEO of IntraFuse.  Fallin continues, “FlexThread™ is a platform technology that can address the unique requirements for intramedullary fixation of small bone fractures where off-axis entry into the bone canal is required, or where the bone is curved.  Now cleared for both clavicle and fibula fractures, the FlexThread™ technology is in further development for additional indications.”

IntraFuse is a development stage medical device company incubated and operated by Surgical Frontiers.  Inquiries regarding distribution and commercialization partnerships are welcome.

About Surgical Frontiers

Surgical Frontiers funds, launches and operates start-up companies to develop advanced surgical technologies that are ready for clinical use.   Focused primarily on musculoskeletal injuries and pathologies, the company collaborates with surgeons, industry, universities, and investors to bring advanced surgical technologies to the market that improve healthcare.

Contacts:

Mr. Wade Fallin
CEO
182962@email4pr.com
www.surgicalfrontiers.com
800-230-3710

SOURCE IntraFuse

Related Links

http://www.surgicalfrontiers.com

Intellijoint Surgical Inc. Receives FDA Clearance for Revision THA with intellijoint HIP®

WATERLOO, ONNov. 1, 2017 /PRNewswire/ – Intellijoint Surgical®, a medical technology company, is pleased to announce that it has received FDA Clearance for revision Total Hip Arthroplasty (THA) with its intellijoint HIP® System. A 3D Mini-Optical Navigation System, intellijoint HIP® provides surgeons with precise measurements for cup position, leg length and offset for THA. Requiring no pre-operative or intra-operative imaging, intellijoint HIP can be used with any implant manufacturer, and for any primary or revision THA.

The revision indication provides surgeons with the ability to evaluate existing THA components to inform intra-operative decision making. The possibility to leave existing components in place can greatly reduce risk to the patient and can contain cost for the hospital.  Other image based technologies are not suitable for revision THA as existing components create distortion to pre-operative images, making them unusable for critical patient registration.

“intellijoint HIP for revision gives me accurate positioning information about the existing cup. I can then determine which acetabular components need to be removed due to the component being malpositioned,” explained said Dr. Wayne Paprosky, Midwest Orthopaedics at Rush and a member of Intellijoint’s scientific medical advisory board.  “I can document the position to defend why I removed or retained the component. When I am able to leave the cup in place, particularly in high risk patients, the risk of complication is greatly reduced and the procedure is significantly shortened.”

intellijoint HIP is available for Anterior, Posterior and Lateral approaches and can be used on primary and now revision THA. This milestone supports Intellijoint Surgical’s mission of making intellijoint HIP accessible to every surgeon and every patient.

“Our core technology is well suited for revision surgery as it provides accurate intra-operative information without relying on pre-operative x-rays or imaging of any kind,” added Intellijoint Surgical CEO Armen Bakirtzian. “Image-based robotics and navigation systems rely heavily on pre-operative imaging, which could result in significant inaccuracies due to image distortion by metal from the existing components”.

Visit Intellijoint Surgical at the upcoming American Association of Hip and Knee Surgeons (AAHKS) annual meeting (booth 100) in Dallas, Texas from November 3rd to 4th to learn about the cutting-edge technology behind intellijoint HIP.

About Intellijoint Surgical:

Intellijoint Surgical® develops and commercializes surgical navigation solutions. Intellijoint’s flagship product, intellijoint HIP® provides surgeons with real-time, intraoperative measurements to ensure proper positioning of orthopaedic implants during Total Hip Arthroplasty. Intellijoint is committed to driving clinical results through the development of solutions that are accessible, fast, and easy-to-use. Intellijoint is setting the new standard in miniature 3D surgical navigation.

Intellijoint Surgical is the recipient of the 2015 North American Frost & Sullivan Enabling Technology Leadership Award and the Futurpreneur Shopify True Grit Award 2016.

SOURCE Intellijoint Surgical Inc.

Related Links

https://www.intellijointsurgical.com/

MiMedx Agrees To Lawsuit Settlement With Halo Wound Solutions

MARIETTA, Ga., Nov. 1, 2017 /PRNewswire/ — MiMedx Group, Inc. (NASDAQ: MDXG), the leading biopharmaceutical company developing and marketing regenerative and therapeutic biologics utilizing human placental tissue allografts and patent-protected processes for multiple sectors of healthcare, announced today that the Company has agreed to a confidential settlement of the lawsuit the Company filed against BioResolutions LLC d/b/a Halo Wound Solutions (Halo) and one of the Halo executives.

MiMedx filed its lawsuit against Halo and its executive, Tracy Lucas, in January 2017. In its suit, MiMedx alleged that Lucas used MiMedx trade secrets and other confidential, proprietary business information to unlawfully solicit the sales of Halo’s medical products with the assistance of MiMedx employees, and tortiously interfered with MiMedx’s contracts with its employees. Mr. Lucas is a former employee of MiMedx. MiMedx alleged that during and after Mr. Lucas’ employment with MiMedx, Halo and Mr. Lucas engaged in wrongful conduct with MiMedx employees, knowing they were actively employed by MiMedx and knowing that MiMedx employees have contractual and legal obligations to the Company.

In addition to an undisclosed monetary settlement, other settlement terms were reached. Certain of these additional settlement terms include: for a period of two years Halo will not sell amniotic tissue products, human tissue/skin substitute products to MiMedx’ existing customers; and  for a two-year period, Halo will not solicit MiMedx employees to work for Halo in any fashion or to leave MiMedx’s employment. Luke Esslinger, President and CEO of Halo, stated, “I apologize that this situation arose. To our knowledge, MiMedx was not aware that its employees were selling third party products or services, including Halo products. We realize now that MiMedx firmly disapproves of its employees selling our products and that such a situation had the potential to create a conflict with the rightful obligations these employees had with their employer, MiMedx.”

Parker H. “Pete” Petit, MiMedx Chairman and CEO, said, “We are pleased to have another one of these lawsuits behind us. We have reached an amicable and favorable settlement with Halo. I applaud Halo for dealing with this in a professional manner and treating it as a learning experience for their future business activities.”

“We have been very effective in continuing our growth trajectory and sustaining our operational excellence, in spite of these corporate distractions. Our constant focus has been on growing our business for the benefit of our customers and their patients, employees and shareholders. I could not be more proud and complementary of our organization for its continued concentration on our business while these distractions are being resolved,” added Bill Taylor, MiMedx President and COO.

About MiMedx
MiMedx® is the leading biopharmaceutical company developing and marketing regenerative and therapeutic biologics utilizing human placental tissue allografts with patent-protected processes for multiple sectors of healthcare. “Innovations in Regenerative Medicine” is the framework behind our mission to give physicians products and tissues to help the body heal itself.  We process the human placental tissue utilizing our proprietary PURION® Process among other processes, to produce safe and effective allografts.   MiMedx proprietary processing methodology employs aseptic processing techniques in addition to terminal sterilization.  MiMedx is the leading supplier of placental tissue, having supplied over 1,000,000 allografts to date for application in the Wound Care, Burn, Surgical, Orthopedic, Spine, Sports Medicine, Ophthalmic and Dental sectors of healthcare. For additional information, please visit www.mimedx.com.

Important Cautionary Statement
This press release includes forward-looking statements, including statements regarding potential outcomes of legal actions.  These statements also may be identified by words such as “believe,” “except,” “may,” “plan,” “potential,” “will” and similar expressions, and are based on our current beliefs and expectations. Forward-looking statements are subject to significant risks and uncertainties, and we caution investors against placing undue reliance on such statements.  Actual results may differ materially from those set forth in the forward-looking statements. Among the risks and uncertainties that could cause actual results to differ materially from those indicated by such forward-looking statements include the risk that different or additional facts may be discovered that change conclusions, and the risks of litigation.  For more detailed information on the risks and uncertainties, please review the Risk Factors section of our most recent annual report or quarterly report filed with the Securities and Exchange Commission.  Any forward-looking statements speak only as of the date of this press release and we assume no obligation to update any forward-looking statement.

SOURCE MiMedx Group, Inc.

Related Links

http://www.mimedx.com

Global Spine Orthopaedic Devices Market 2017-2023 – Increase Usage of Orthopedic Biomaterials in Spine Surgery

DUBLINNovember 1, 2017 /PRNewswire/ —

The “Global Spine Orthopaedic Devices Market: Drivers, Restraints, Opportunities; Trends and Opportunities to 2023”report has been added to Research and Markets’ offering.

The “Global Spine Orthopedic Devices Market” is Estimated to Witness a CAGR of 6.23% During 2017-2023

The market is dominated by the Spine Implants segment with the presence of advanced fusion and non-fusion procedures performed with orthobiologics and the availability of clinical data regarding the safety and efficacy of the devices. This enables surgeons to adopt devices for treatment of various spine-related disorders as these surgeries contribute 60% of the total orthopedic procedures.

Therefore, opportunities for growth in the emerging countries of LATAM and APAC remain vast. The increasing adoption of MI surgeries in treating orthopedic disorders, particularly in the elderly, and the growing availability of devices in the market also contribute to the growth of the market.

Europe accounted for the second largest market with chronic pain being one of the major complications with the rising burden of spine chronic cases (lower back). In 2015, the public spending on healthcare in Europe amounted to 18% of the overall government expenditure. The expenditure on chronic pain care with orthopedic devices is directly reimbursed to hospitals within the NHS. Clinical evidence of spine orthopedic devices compared to other treatments, such as drug therapy, are expected to increase during the forecast period.

Factors, such as high prevalence of orthopedic diseases, presence of large pool of patients, and rise in awareness about treatment for complex orthopedic disorders, drive the market growth in the emerging economies, especially APAC. Further, the increase in government spending in healthcare, infrastructure, research centers, and establishing of manufacturing facilities by major vendors in the market are influencing the high growth of the market.

Market Dynamics

Drivers

  • Rise in the prevalence of spinal disorders
  • Growing popularity of minimally invasive surgeries
  • Rise in elderly population
  • Increase in number of outpatient procedure

Opportunities

  • Adoption of spinal navigation technology
  • Increase usage of orthopedic biomaterials in spine surgery
  • Increase healthcare spending
  • Increase in mergers & acquisitions

Restraints

  • High cost of spine surgery procedures
  • Complications and risk associated with spine surgeries
  • Stringent regulatory framework and labeling requirement
  • Poor reimbursement policies
  • Intense competition among vendors

Key Topics Covered:

1 Industry Outlook

2 Report Outline

3 Market Snapshot

4 Market Outlook

5 Market Characteristics

6 Types: Market Size and Analysis

7 End User: Market Size and Analysis

8 Regions: Market Size and Analysis

9 Competitive Landscape

10 Vendor Profiles

11 Companies to Watch For

12 Other Prominent Vendors

Companies Mentioned 

  • Alphatec Spine
  • Johnson & Johnson (DePuy Synthes, Inc)
  • K2M
  • Medtronic PLC
  • NuVasive, Inc.
  • OMNIlife Science
  • Orthofix International N.V.
  • SeaSpine Holdings Corp.
  • Stryker Corp.
  • Zimmer Biomet Holdings, Inc

For more information about this report visit https://www.researchandmarkets.com/research/6vvbbw/global_spine

Media Contact:

Research and Markets
Laura Wood, Senior Manager
press@researchandmarkets.com

For E.S.T Office Hours Call +1-917-300-0470
For U.S./CAN Toll Free Call +1-800-526-8630
For GMT Office Hours Call +353-1-416-8900

U.S. Fax: 646-607-1907
Fax (outside U.S.): +353-1-481-1716

SOURCE Research and Markets

Related Links

http://www.researchandmarkets.com

InVivo Therapeutics Provides Business Update and Reports 2017 Third Quarter Financial Results

October 30, 2017

CAMBRIDGE, Mass.–(BUSINESS WIRE)–InVivo Therapeutics Holdings Corp. (NVIV) today provided a general business update and reported financial results for the quarter ended September 30, 2017.

Mark Perrin, InVivo’s Chief Executive Officer and Chairman, said, “In the third quarter, we focused our resources solely on reopening enrollment into the clinical study of the Neuro-Spinal Scaffold™ in complete thoracic spinal cord injury (SCI). As part of this focus, we reduced our workforce by 39%, which is expected to result in 2018 operating expense savings of approximately $7.3 million.”

Mr. Perrin continued, “Enrollment into the INSPIRE study is currently on hold as we engage with the United States Food & Drug Administration (FDA) to determine the most appropriate clinical path forward. We continue to engage in discussions with the FDA regarding our clinical program and will provide appropriate updates as we obtain further clarity on the issue. We remain wholly committed to our mission of redefining the life of the spinal cord injury patient and progressing the Neuro-Spinal Scaffold in the clinic toward a Humanitarian Device Exemption (HDE) submission.”

INSPIRE Update

Of the 19 patients implanted in The INSPIRE Study to date, 16 patients are in follow-up, 14 of whom have reached the six-month primary endpoint visit. Six of these 14 (42.9%) have improved from complete AIS A SCI to incomplete SCI (one patient to AIS C and five patients to AIS B) at the six-month primary endpoint visit and eight had not converted at that visit. Two of the six patients who converted and were assessed to have AIS B SCI at the six-month primary endpoint were later assessed to have improved to AIS C SCI at the 12 and 24-month visits, respectively. Two of the patients in follow-up have not yet reached the six-month primary endpoint visit although one of these patients was assessed to be AIS C at one month and two months and AIS B at three months. Three patients in the INSPIRE study have died, with the cause of death in each case determined to be unrelated to the Neuro-Spinal Scaffold or implant procedure by the respective site Principal Investigator.

Financial Results

For the three-month period ended September 30, 2017, the Company reported a net loss of approximately $9.4 million, or $0.28 per diluted share, compared to a net loss of $6.2 million, or $0.19 per diluted share, for the three-month period ended September 30, 2016. The results for the three-month period ended September 30, 2017 were unfavorably impacted by increases in general and administrative operating expenses of $804,000 and by a derivative loss of $3.1 million, due primarily to the impact of the August 2017 warrant exchange, partially offset by decreases in research and development operating expenses of $366,000. Excluding the impact of the derivative warrant liability, adjusted net loss for the three-month period ended September 30, 2017 was $6.3 million, or $0.19 per diluted share, compared to adjusted net loss of $5.9 million, or $0.18 per diluted share, for the three-month period ended September 30, 2016.

The Company ended the quarter with $17.2 million of cash, cash equivalents, and marketable securities.

For the nine-month period ended September 30, 2017, the Company reported a net loss of approximately $22.1 million, or $0.68 per diluted share, compared to a net loss of $18.0 million or $0.59 per diluted share, for the nine-month period ended September 30, 2016. The results for the nine-month period ended September 30, 2017 were unfavorably impacted by increases in research and development operating expenses of $863,000, $1.8 million in general and administrative operating expenses and by a non-cash loss on the derivative warrant liability of $2.3 million, due to the impact of the August 2017 warrant exchange and the change in the fair market value of the warrant liability. Excluding the impact of the derivative warrant liability, adjusted net loss for the nine-month period ended September 30, 2017 was $19.8 million, or $0.61 per diluted share, compared to adjusted net loss of $17.2 million, or $0.56 per diluted share, for the nine-month period ended September 30, 2016.

Adjusted net loss and adjusted net loss per share are non-GAAP financial measures that exclude the impact of the derivative warrant liability. A reconciliation of these measures to the comparable GAAP measure is included with the tables contained in this release. The Company believes a presentation of these non-GAAP measures provides useful information to investors to better understand the Company’s operations, on a period-to-period comparable basis, with financial amounts both including and excluding the identified items.

About The INSPIRE Study

The INSPIRE Study: InVivo Study of Probable Benefit of the Neuro-Spinal Scaffold™ for Safety and Neurologic Recovery in Subjects with Complete Thoracic AIS A Spinal Cord Injury, is designed to demonstrate the safety and probable benefit of the Neuro-Spinal Scaffold™ for the treatment of complete T2-T12/L1 spinal cord injury in support of a Humanitarian Device Exemption (HDE) application for approval.

About the Neuro-Spinal Scaffold™ Implant

Following acute spinal cord injury, surgical implantation of the biodegradable Neuro-Spinal Scaffold™ within the decompressed and debrided injury epicenter is intended to support appositional healing, thereby reducing post-traumatic cavity formation, sparing white matter, and allowing neural repair within and around the healed wound epicenter. The Neuro-Spinal Scaffold™, an investigational device, has received a Humanitarian Use Device (HUD) designation and currently is being evaluated in The INSPIRE Study for the treatment of patients with acute, complete (AIS A), thoracic traumatic spinal cord injury.

About InVivo Therapeutics

InVivo Therapeutics Holdings Corp. is a research and clinical-stage biomaterials and biotechnology company with a focus on treatment of spinal cord injuries. The company was founded in 2005 with proprietary technology co-invented by Robert Langer, Sc.D., Professor at Massachusetts Institute of Technology, and Joseph P. Vacanti, M.D., who then was at Boston Children’s Hospital and who now is affiliated with Massachusetts General Hospital. In 2011, the company earned the David S. Apple Award from the American Spinal Injury Association for its outstanding contribution to spinal cord injury medicine. In 2015, the company’s investigational Neuro-Spinal Scaffold™received the 2015 Becker’s Healthcare Spine Device Award. The publicly-traded company is headquartered in Cambridge, MA. For more details, visit www.invivotherapeutics.com.

Safe Harbor Statement

Any statements contained in this press release that do not describe historical facts may constitute forward-looking statements within the meaning of the federal securities laws. These statements can be identified by words such as “believe,” “anticipate,” “intend,” “estimate,” “will,” “may,” “should,” “expect,” “designed to,” “potentially,” and similar expressions, and include statements regarding the status of the clinical program, the timing for re-opening enrollment in the INSPIRE Study and the submission of an HDE application to the FDA, and the impact of the restructuring and the reduction in force on the Company’s balance sheet, financial position and cash burn. Any forward-looking statements contained herein are based on current expectations, and are subject to a number of risks and uncertainties. Factors that could cause actual future results to differ materially from current expectations include, but are not limited to, risks and uncertainties relating to the company’s ability to successfully re-open clinical sites for enrollment and to enroll additional patients; the timing of the Institutional Review Board process; the expected benefits and efficacy of the company’s products and technology in connection with the treatment of spinal cord injuries; the availability of substantial additional funding for the company to continue its operations and to conduct research and development, clinical studies and future product commercialization; and other risks associated with the company’s business, research, product development, regulatory approval, marketing and distribution plans and strategies identified and described in more detail in the company’s Quarterly Report of the three months ended September 30, 2017, and its other filings with the SEC, including the company’s Form 10-Qs and current reports on Form 8-K. The company does not undertake to update these forward-looking statements.

InVivo Therapeutics Holdings Corp.
Consolidated Balance Sheets
Unaudited
As of

September 30, 
2017

December 31,
2016

ASSETS:
Current assets:
Cash and cash equivalents 16,434 21,464
Restricted cash 361 361
Marketable securities 734 11,577
Prepaid expenses and other current assets 475 451
Total current assets 18,004 33,853
Property, equipment and leasehold improvements, net 190 510
Other assets 402 421
Total assets 18,596 34,784
LIABILITIES AND STOCKHOLDERS’ EQUITY:
Current liabilities:
Accounts payable 1,270 1,011
Loan payable, current portion 444 423
Derivative warrant liability 41 1,314
Deferred rent, current portion

30

141
Accrued expenses 1,784 1,959
Total current liabilities 3,569 4,848
Loan payable, net of current portion 516 852
Deferred rent, net of current portion 208 135
Other liabilities 52
Total liabilities 4,345 5,835
Stockholders’ equity:

Common stock, $0.00001 par value, authorized 100,000,000 shares; 34,234,580 shares
issued and outstanding at September 30, 2017; 32,044,087 shares issued and outstanding at
December 31, 2016

1

1

Additional paid-in capital 193,493 185,955
Accumulated deficit (179,243 ) (157,007 )
Total stockholders’ equity 14,251 28,949
Total liabilities and stockholders’ equity 18,596 34,784

InVivo Therapeutics Holdings Corp.

Consolidated Statements of Operations and Comprehensive Loss

(Unaudited)

Three Months Ended

September 30,

Nine Months Ended

September 30,

2017 2016 2017 2016
Operating expenses:
Research and development 2,928 3,294 9,522 8,659
General and administrative 3,388 2,584 10,389 8,573
Total operating expenses 6,316 5,878 19,911 17,232
Operating loss (6,316 ) (5,878 ) (19,911 ) (17,232 )
Other income (expense):
Interest income 43 50 152 133
Interest expense (18 ) (32 ) (58 ) (117 )
Derivatives gain (loss) (3,059 ) (336 ) (2,264 ) (788 )
Other income (expense), net (3,034 ) (318 ) (2,170 ) (772 )
Net loss (9,350 ) (6,196 ) (22,081 ) (18,004 )
Net loss per share, basic and diluted (0.28 ) (0.19 ) (0.68 ) (0.59 )
Weighted average number of
common shares outstanding, basic and diluted 33,445,002 31,968,357 32,516,190 30,687,263
Reconciliation of GAAP to non-GAAP measures
InVivo Therapeutics Holdings Corp.
(In thousands, except share and per share data)
Three Months Ended Nine Months Ended
September 30, September 30,
2017 2016 2017 2016
Reported GAAP net income (loss) (9,350 ) (6,196 ) (22,081 ) (18,004 )
Add Back: Derivative (Gain)/ Loss 3,059 336 2,264 788
Adjusted Net Loss (6,291 ) (5,860 ) (19,817 ) (17,216 )
Reported GAAP net loss per diluted share (0.28 ) (0.19 ) (0.68 ) (0.59 )
Derivative loss per diluted share 0.09 0.01 0.07 0.03
Adjusted net loss per diluted share (0.19 ) (0.18 ) (0.61 ) (0.56 )

Contacts

InVivo Therapeutics Holdings Corp.
Heather Hamel, 617-863-5530
Investor Relations
Investor-relations@invivotherapeutics.co

OrthoPediatrics Corp. to Report Third Quarter 2017 Financial Results on November 8, 2017

WARSAW, Ind., Oct. 30, 2017 (GLOBE NEWSWIRE) — OrthoPediatrics Corp. (“OrthoPediatrics”) (NASDAQ:KIDS), an orthopedic company focused exclusively on providing a comprehensive product offering to the pediatric orthopedic market, announced today that the Company plans to release its third quarter 2017 financial results on Wednesday, November 8, 2017 after the market closes.

OrthoPediatrics will host a conference call on Thursday, November 9, 2017 at 8:00 a.m. ET to discuss the results. The dial-in numbers are (855) 289-4603 for domestic callers and (614) 999-9389 for international callers. The conference ID number is 9169647. A live webcast of the conference call will be available online from the investor relations page of the OrthoPediatrics’ corporate website at www.orthopediatrics.com.

A replay of the webcast will remain available on OrthoPediatrics’ website, www.orthopediatrics.com, until the Company releases its fourth quarter and full year 2017 financial results. In addition, a telephonic replay of the call will be available until November 16, 2017. The replay dial-in numbers are (855) 859-2056 for domestic callers and (404) 537-3406 for international callers. Please use the replay conference ID number 9169647.

About OrthoPediatrics Corp.
Founded in 2006, OrthoPediatrics is the only diversified orthopedic company focused exclusively on providing a comprehensive product offering to the pediatric orthopedic market.  The Company is dedicated to the cause of improving the lives of children with orthopedic conditions. OrthoPediatrics currently markets 22 surgical systems that serve three of the largest categories within the pediatric orthopedic market. This offering spans trauma & deformity, complex spine and ACL reconstruction procedures. OrthoPediatrics’ global sales organization is focused exclusively on pediatric orthopedics and distributes its products in the United States and 35 countries outside the United States.

Investor Contact
The Ruth Group
Zack Kubow
(646) 536-7020
zkubow@theruthgroup.com